This keynote panel brings national and state leaders to discuss the current alignment and true potential of IT to transform healthcare delivery. State leaders will discuss state capacity for Health Information Exchange in order to support primary care delivery transformation eorts (including ACOs and PCMHs), as well as the state’s performance measurement infrastructure assigned to these new care delivery models that linking both claims and clinical data.

This presentation addresses resources, initiatives and key topics supporting the industry’s journey with health information technology deployment and utilization. An overview of the HIMSS State HIT Dashboard will be provided which is a free industry resource of key industry HIT initiatives. Insights from the HIMSS’ State Advocacy activities will be addressed with focused on key topic areas including patient advocacy/ engagement and health IT literacy. The presentation concludes with preliminary insights from the NASCIO and HIMSS Collaboration which focuses on State deployment and leverage of information technology in key initiatives including State Level Health Information Exchanges and Health Insurance Exchanges.

Medicaid is undergoing some of the most significant changes in a generation — from the implementation of ACA, to payment reform, ACOs, HIE, and HIX. The technology supporting Medicaid is also changing—rapidly– and is becoming an integral component in the drive to refocus the program on improved outcomes. Join this panel of industry experts as they discuss how analytics and technology are transforming both healthcare policy and outcomes as the Medicaid program of tomorrow takes shape.

Engage with HIX Leaders from three states implementing different Insurance Marketplace models: Connecticut (State-based), Iowa (Plan Management State-Partnership), and South Carolina (Federally-Facilitated). What are the common and unique challenges that each Marketplace Model faces as we progress towards open enrollment and implementation? Participate in an active dialogue and ask the panelists questions you have about any of the Insurance Marketplace Models and Operational Readiness challenges.

Data and analytics are essential for Medicaid innovation in order to identify opportunities for improvement as well as to track and enhance innovative programs related to healthcare reform. The Colorado Accountable Care Collaborative (ACC) is a statewide Medicaid initiative showing an early impact on Medicaid’s total cost-of-care by reducing inappropriate hospital and ER utilization. This session explores how the ACC is using actionable data analytics, delivered by the Statewide Data Analytics Contractor, to improve health outcomes and controls costs.

While each state’s Exchange experience is unique, certain integration and data challenges are common and states and payers are beneting from sharing their experiences and solutions. Join this panel of industry experts as they examine some of the common challenges and how states are responding, as well as some challenges states are anticipating post 10/1/13.

Engaging and communicating with constituents is a manner that gets results can be challenging. This panel discussion will detail how two states are using disparate data and an enterprise approach to communicate with patients and providers. Data from different programs is being used to validate the identity as well as to gather as much intelligence to better communicate and help the patient or provider. Using an enterprise communication platform allows agencies to pull data from different systems and create communications that are personalized and delivered using the right method (email, text, print), at the right time, to the right person which supports improved service delivery.

States are frantically upgrading and replacing their Integrated Eligibility and Enrollment systems at historic rates in order to meet ACA deadlines and take advantage of enhanced Federal funding. Join this panel of industry experts as they discuss the different ways states are taking advantage of this moment in time and the opportunities and challenges it is presenting.

Across the spectrum there is an ever-increasing need for a greater level of information that is integrated, comprehensive and timely – especially in areas in which we have deep personal investments, such as finances and health. The healthcare environment is rapidly changing on several fronts and navigating the changing ecosystem can be tricky. A perfect storm is brewing, but isn’t unavoidable. What can be done to build the right bridges within the industry, find the steps to increased collaboration and avoid the pitfalls that come along with a more transparent, quickly-changing system?

Behavioral and mental health services compose a significant portion of the nation’s healthcare spending. Spending projections from the federal Substance Abuse and Mental Health Services Administration estimate that by 2014, the nation will spend $203 billion on mental health care, with Medicaid covering 27 percent and Medicare 12 percent of this cost. The rise of spending on mental health services coupled with the expansion of Medicaid eligibility mandated in the Patient Protection and Affordable Care Act in 2014 necessitates that CMS, states, providers and payers advance cost-effective care coordination interventions to better control costs while improving the quality of care delivered. This session discusses such initiatives.

Advanced HIEs, Beacons and RECs are planning to deliver value added services and tools that will see them move towards optimized Meaningful Use support to delivering actionable information to track and measure outcomes, identify gaps in service and provide support for increased care coordination. These are all essential IT services required for the successful development of ACOs and implementation of other delivery and payment reform models.

Increasing demands on the availability of health data across the care continuum mean that States are increasingly taking the enterprise view and implementing a seamless framework that compartmentalizes Patent records, Medicaid operational data, Employee services and Public Services into a seamless secure data architecture that can be rolled out on time and on budget. Of course transitioning from siloed, stand alone systems to next generation Web based solutions introduces a new level of complexity and uncertainty around the exposure to threats from inside and outside the organization. This panel will demonstrate leading State strategies to protect the infrastructure, implement secure exchanges for the interactions, as well as the information itself.

At the core of any successful business is a clear understanding of your organization’s purpose, your customers’ needs, and your unique assets. Moving from vision to execution requires strong leadership, business planning, focus, and flexibility. In this session, we will share some tools and techniques to increase the probability for success and discuss how the Healthcare Information Xchange of New York (HIXNY) has been able to successfully build a model that espouses these tenets, and how their vendor partnership helped enable their journey from vision to value. Topics will include: · 10 Key Tenets for Not for Profit Businesses · Utility and Anatomy of Business Planning, and a Business Plan · 10 Important Questions to Ask in Delivering Value · Thought Leadership, and Delivering Breakthroughs for Customers · Healthcare Information Xchange New York (HIXNY)

In these tough economic times, citizens are relying more than ever on health and human services programs provided or administered by states. At the same time, state health and human services programs – like most programs across state government – are being asked to do more with less and better manage their existing resources. By preventing improper payments – overpayments, underpayments, inadequately documented payments and fraud – these health and human services programs help to ensure that benefits go to those in need while saving taxpayer dollars. Although improper payments are attributable to many factors, government officials say the problem often stems from administrative errors or inadequate documentation and verification of recipient information before starting the eligibility determination process. This panel will explore the role of Identity Analytics in helping government agencies understand who they are dealing with, so that the right benefits and services go to the right people.

Panel Summary:

We will explore the following topics: · Getting to the heart of new screening and enrollment requirements · Understanding the risk associated with beneficiaries and providers in or attempting to enter your program · Understanding the importance of automation and technology integration as anchors for effective program integrity.

In order for States with predominantly rural populations to be successful in their participation in new care delivery models (ACOs and PCMH), they must overcome barriers associated with cultural barriers, underserved and often remote communities and poorly integrated primary care networks. During this session panelists will discuss State strategies and the role of technology in incentivizing participation in new models of care, improving access and care coordination in rural communities and how they are making strides towards improving health outcomes.

Pay for performance (P4P) and value-based purchasing (VBP) are interchangeable terms for payment systems that link providers’ reimbursement to their performance on selected quality of care measures, and systems that use financial incentives to encourage providers to meet defined quality, efficiency, or other targets (Agency of Healthcare Research and Quality 2008).The Health Services Cost Review Commission analyzes multiple data sets to measure hospital performance on a comprehensive set of quality-related measures–process of care, complication and readmission rates–the results of which are used as the basis for financial incentives to dramatically improve the overall quality of Maryland hospital care.

Mr. Cavanaugh provides an update on the CMS Innovation Center and its initiatives. The PPT shows how the Innovation Center is testing new models in the effort to lower costs and improve the quality of care for all Americans.

Mayo Clinic CIO Cris Ross discusses the health care system’s vision for interoperability and how it will change patient care, the Care Connectivity Consortium and the power of collaboration to reach common health information exchange goals.

According to researchers from RAND, interoperable health information technology can radically transform health care in the same way technology has reshaped other industries, including manufacturing and telecommunications, to the tune of tens of billions of dollars in savings and productivity gains annually. Many argue, however, that we lack interoperability to capitalize on technology’s promise. Partly as a result, a chorus of criticism has emerged about the value and viability of federal and state health IT eorts to support new models of care payment and delivery. Join this panel of experts as they discuss the current state of interoperability and information exchange and how it may be advanced in the coming months and years.

Abstract: As a framework for Medicaid business, information and technology, MITA is a comprehensive construct with worthwhile aspirations. However, applying MITA 3.0 inside the state Medicaid agency is a daunting proposition. The documentation is voluminous and difficult to put to practical use. The processes required to relate MITA 3.0 to the current and future state of the Medicaid agency, in each of its ongoing and planned initiatives, relies on experts. The more MITA 3.0 is pushed to the expert layer of the organization, the less likely it is to truly take hold.